摘要
癌症患者阴火的产生与脾胃久虚或放化疗损伤脾胃导致的清阳不升、谷气下流、郁而化火有关。阴火不仅伤及脾胃,亦会影响其他脏腑,耗伤气血津液,筋骨失于濡养而作癌因性疲乏(cancer-related fatigue,CRF)。临证以李东垣补元气、升清阳、泻阴火的治则为指导思想,通过甘温除热、辛甘苦寒复升降及风药辛散气郁的用药方式治疗阴火,并结合癌症的病机特点,随证加减用药。强调辨证与辨病相结合、扶正与抗邪相结合、心灵疗愈与身体锻炼相结合,以期最大程度为患者提升生活质量,延长生存期,实现“带瘤生存”的目标。
The occurrence of Yin Fire in cancer patients is related to the long-term deficiency of the Spleen and Stomach or the damage of the Spleen and Stomach caused by radiotherapy and chemotherapy.Yin Fire not only injures the Spleen and Stomach but also affects other Zang and Fu organs,deplete Qi,blood and Fluids,and cause cancer-related fatigue(CRF)due to loss of nourishment of muscles and bones.In clinical practice,guided by Li Dongyuan′s treatment thought of replenishing Yuan Qi,encouraging the clear Yang and purging the Yin fire,Yin Fire can be treated through the medication methods of using drugs with sweet and warm character to remove Heat,of using drugs with pungent or bitter and cold to get Qi movement recovered,of using Wind dispelling drugs with pungent and dispersing functions to remove Qi stagnation.By combining with the pathogenesis characteristics of cancer the prescriptions can be modified according to the syndrome.In order to improve the quality of life of patients to the greatest extent,prolong the survival period and achieve the goal of"survival with tumors",the combination of syndrome differentiation and disease differentiation,the combination of strengthening Zheng Qi and fighting against evil factors as well as the combination of spiritual healing and physical exercise should be emphasized.
作者
陈政伟
王茜
李文茜
骆文龙
尹怡
王俊涛
王祥麒
CHEN Zhengwei;WANG Qian;LI Wenqian;LUO Wenlong;YIN Yi;WANG Juntao;WANG Xiangqi(Henan University of Chinese Medicine,Zhengzhou Henan China 450046;The Third Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450008)
出处
《中医学报》
CAS
2024年第11期2406-2410,共5页
Acta Chinese Medicine
基金
河南省中医药科学研究专项课题项目(2022 ZYZD13)。
关键词
癌因性疲乏
阴火
王祥麒
cancer-related fatigue
Yin Fire
Wang Xiangqi
